“On the plane from Albany, New York to Portland, Oregon, I deleted my heroin dealer’s phone number. It wasn’t the first time I’d done that—more like the 15th—and each time I’d felt a strange resistance. I knew that I would miss my heroin dealer that had been oh so accommodating in terms of helping me to ruin myself. I loved people that enabled my irresponsibility. In hindsight, he was my doctor. And I was a happy patient.” Read the full article from TheFix.com.
DBT is a core part of Behavioral Health Hawaii’s Intensive Outpatient Program.
I practiced in the Seattle area before coming back to Maui. I can tell you that the drug problems on Maui are a couple of years behind the Mainland. Maui already has a heroin problem, if it follows the trend it will get worse.
“To me what is more significant is the way that we socially regard the condition of addiction. It’s something that I consider to be an illness and therefore more a health matter, then a criminal or judicial matter.” –Russell Brand
Most of us have seen at least one episode of the TV hit show Intervention. They show graphic images of the addict using, the families talk about the pain cause by the person’s drinking or drug use, then the big drama filled secret meeting showing the person hopefully going off to treatment. A family contacted me recently wanting an intervention. I asked the Mother who appeared to be the enabler to come to my office to discuss the situation. In our session we discussed the issue at hand devised our next steps, she went home to speak with the other family members. We set up a meeting with siblings and close relatives, invited the addicted individual, making sure no one was being secretive. The addicted individual knew they were coming to discuss the issue at hand. I tell family member to say to the addict, “I would like you to come to help me deal with this issue.” Nine times out of ten the person will come to the meeting. Everyone showed up to the appointment with the addicted individual in tow. We met for about an hour and a half, the addict family member left agreeing to go to treatment. My services were about $300.00 for the intervention. Not everyone can do an intervention this way. They had the resources to set up a treatment facility on the Mainland. They had plenty of family members to stay with the person and keep the momentum going. I was told it took 2 hours to get the person in the car to go to the airport. They had someone stay with him in California for a few day during detox so they were the exception rather then the rule. The addict is in long term treatment and hopefully they will stay. The family will need to do their own work because they become as sick if not sicker then addict. Interventions come in all different sizes and shapes. Interventions work but it takes a lot of effort on the part of everyone involved to make it sucessful long term.
How is that one of the worst drug problems in history flows straight out of our health care system?
TheFix.com reports, “It’s almost unthinkable that in an era preoccupied with ‘evidence-based’ medicine and ‘best practic’ advice, one of the worst drug problems in the United States flows right out of our health care system. Unlike other major epidemics such as those connected to methamphetamine, crack cocaine or other illegal drugs, our prescription opioid problem is full of irony and agony, because it has been fueled, to a certain extent, by the actions of well-intended medical doctors. Physician-prescribed opioid medication misuse is multifactorial in its origins and has proved an equally complex puzzle for those who are working to find a solution.”
Prescription Drug abuse is a major problem on Maui and in the state of Hawaii. At Behavioral Health Hawaii we understand and treat prescription drug abuse. Call us at 808-234-9838 for a free 15 minute consultation.